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Organization
IMPERIAL PHYSICAL THERAPY P C
Active
Organization
IMPERIAL PHYSICAL THERAPY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELEAZAR SOMINTAC TAYAG PT, DPT, MPH (CEO/ADMINISTRATOR)
(909) 509-6064
Entity
Organization
Contact information
Practice address
12550 HESPERIA RD STE 220, VICTORVILLE, CA 92395-5873
(909) 509-6064
Mailing address
12550 HESPERIA RD STE 220, VICTORVILLE, CA 92395-5873
(909) 509-6064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/03/2024
Last updated
10/20/2025
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